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Coolness in mouth and throat,acidity.GERD - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: General Health
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3583 Questions
Doctor :   hi
Doctor :  
how can i help you?
Doctor :  
please proceed with your health query
User :   Yes Doctor
Doctor :  
are you there?
User :   Yes I am writing the query
Doctor :   ok
User :   Doctor I am facing this starnge problem from last many many years
User :   Many times in day I get this coolness in my mouth
Doctor :  
ok. please proceed with your query
Doctor :  
ok
User :   Like a have chewed a peppermint
User :   My throat and mouth becomes cool
Doctor :  
does this feeling continue to stay all the time or does it come in specific situations?
User :   when inhale and exhale I feel this coolness
User :   mostly after meals
User :   I have been suffering from GERD , acidity since many years
Doctor :  
ok
User :   but I dont know how can it be related to acidity
User :   everyday I will feel this coolness
Doctor :  
the symptom that you are having can be related to GERD also.
User :   though it does not cause any medical problem but still I want to understand it
User :   ok
Doctor :   it is a reflex that comes into your mouth when you lie down or when you eat at irreggular timings and when you eat to the full of stomach
User :   But I thought with GERD it is all in the stomach
Doctor :  
observe for sometime and avoid these situations
Doctor :  
and see if the symptoms recur.
User :   but than this reflux should be acidic or hot
User :   but than why it is cool
User :   coolness
User :   as if I have gagled with mouth frshner
User :   gargled
Doctor :  
ok
User :   Can this cause any problem in the future if not cured
Doctor :  
the coolness also could be due to the acid itself, as it irritates the mucosa
Doctor :   do you have tooth related problems?
User :   Is it common with acidity or I am the unique case
User :   No
Doctor :  
ok
User :   No prpblems in any tooth
Doctor :  
the coolness could be attributed to the GERD
User :   But yes I have been suffering from stomach problems le acidity, GERD, gas , flatulance, etc since many years
User :   Could there be any other cause beside GERD
Doctor :  
as the reflux that happens reacts with the mucosal cells and irritates the nerve endings over time producing sensations that can differ from person to person.
User :   I want to look at all the possiblities
User :   ok
User :   ok
User :   But at times even when I am not feeling any acidity , nor any stomach problem i do get this coolness
Doctor :   all these symptoms 'acidity, GERD, gas , flatulance,' are related to GERD in total
User :   Lie I feel my stomach is quite ok but I still feel the coolness
User :   many times this has happened
Doctor :   have you had endoscopy done?

User :   No
Doctor :  
when was the last visit to your doctor for GERD?
User :   a month ago
User :   he prescribed PAN-D
User :   I do take it but not regularly
Doctor :  
i suggest you to meet him again and take a endoscopy to see if there are any mucosal changes in esophagus which is responsible for these symptoms
User :   ok
Doctor :  
you should be regular on your prescribed medications to avoid the symptoms
User :   can this be cured
User :   Is it something serious
Doctor :  
you can also consult with our panel specialists for your problem once the endoscopy is done to discuss what further can be done.
User :   sure
Doctor :   GERD when uncontrolled can lead to complications
User :   like
Doctor :  
but when controlled with medications
Doctor :  
is fine
User :   ok
User :   I have uncontrolled GERd from last 10 years
User :   I have neglecting it
User :   Only from last wo months I have taken it seriously
Doctor :  
complications include mucosal damage, severe vomiting, weight loss, and with chronicity, even cancerous changes in rare cases
User :   :(
Doctor :  
so a endoscopy will tell what the current state is
User :   ok
Doctor :  
and help to control symptoms
Doctor :  
have you followed what i have said/
User :   Is it possible to detect problems with ultra sound and Xrays
User :   I am afraid of endoscopy
Doctor :  
no, these do not show the mucosal changes, only gross defects can be made out
User :   ok
Doctor :  
but endoscopy can visualise directly
Doctor :  
the upper GI structures
Doctor :  
and tell you what is happening
User :   how safe is endoscopy
User :   chances of complications
User :   I am not a very strong person
Doctor :  
even if changes are very much, a biopsy can be taken while the endoscopy and sent for examinations to rule out cancer
Doctor :  
endoscopy is a safe procedure, you dont need to be worried, all you ned to do is co-operate and follow the doctors instructions
User :   ok
Doctor :  
Is there any thing else I can help you with?
User :   ok
User :   thank you Doctor
User :   No more question
User :   thans again
Doctor :  
ok
Doctor :  
Please fill the feedback form say done when done.
User :   yes
Doctor :  
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Question is related to
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